Well, with FMOD you can work with established thematic material or hire a composer to generate thematic material that can be implemented in a wholly non-linear and even generative manner inside a game or interactive media.

I mean, beyond anything Sony's Cinescore can do, you can create fully interactive soundtracks in a very powerful way. Cinescore is merely a motif construction kit--composers have had generic construction kits like this available to them for years--it's really a hackneyed way of providing a director with a soundtrack.

It's generally flavorless because it's not music that was designed for you or speaks to your vision as a director or game developer.